| NPI | 1538595301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL N/A CREGUT President 904-234-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2020-01-22 |